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While the causal pathways are not clearly understood and there is some evidence to support multiple pathways, the strong association between mental illness and smoking, and the common long-term persistence of both smoking and mental illness, suggest the value in responding to both problems in a co-ordinated way [57, 58]

Future research should also further examine the association between early smoking initiation and death from other causes, such as respiratory diseases and cancers, and in other populations

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